NPI 1780610089 · live from the CMS NPI Registry
American Health Network Of Indiana, LLC
Family Medicine in Lafayette, IN. National Provider Identifier 1780610089, active.
NPI record
| NPI | 1780610089 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3750 Landmark Drive, Suite A, Lafayette, IN 47905 |
| Practice phone | 765-448-4511 |
| Enumerated | June 25, 2006 |
| Last updated | January 22, 2009 |
| Authorized official | Ben Park, President And Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — |
| Radiology, Diagnostic Ultrasound | 2085U0001X | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.